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The content of the filling is Hyaluronic acid (HA) in a soft and fluid form
Hyaluronic acid is by far the most commonly used substance in subcutaneous-intr fillers all over the world. They are a kind of sugar jelly synthesized in the laboratory. There are many different manufacturers and the product range of each company overlaps with the others three or five or more. According to the chemical stages of the synthesis process, the physical properties of hyaluronic acid obtained vary, such as hardness, fluidity, absorption time, water drawing capacity. Hyaluronic acid, which can be used for under-eye application, should be much softer and more fluid compared to other application areas, because the skin under the eyes is very thin, and if the substance injected under this skin is hard and has a quality that creates a mass effect, it is quite likely to appear from the outside and create noticeable irregularities. Since obtaining soft and fluid materials used in under-eye filling requires a different technological equipment, these filling materials are typically released at a slightly higher price.
“Light filling” is a marketing phrase and there is no equivalent in the medical literature
The name of the procedure in the medical literature is “Augmentation of the lower eyelid cheek junction with Hyaluronic Acid-containing filling materials”.
Where does this “light-glow” come from
The light comes from the outside world around you, from the sun and artificial lighting tools. The sparkle is formed by the reflection of this light from a surface and reaching the eye of the perceiver. As we age, bags form under the eyes, the soft tissue covering the bags loses volume and thins. Thus, pit areas and grooves begin to appear around the bags that separate these bags from the surrounding soft tissue. Tear groove (tear through) between the lower eyelid bag and the nose, orbitomas groove deformities occur between the lower eyelid bag and the cheek. Since these grooves remain relatively in the pit compared to the under-eye bag, the shadow of the eyelid bag falls on them, and someone looking from the outside sees the convex surface of the bag brightest, while the areas around it that remain relatively in the pit are shaded. This light shadow distribution is the main factor that shows the “dark-purple” under the eye.
On the concept of negative volume
You can imagine the under-eye filling application as follows. You are playing in the sand and there is an orange on the sand. You are trying to leave this orange under the sand without changing its location at all. In other words, you need to pile the sand you get from the environment around the orange until the orange is completely under the sand. We call this area, where you pile the sand around the orange, negative volume. In the under-eye filling application, you can think of the orange as your under-eye bags, and the area where we pile the sand is like the area where we apply the filling. Typically, the total volume that you need to use to camouflage an audience with a natural contour is greater than the volume of that audience. For this reason, it is necessary to go out to relatively high volumes in order to achieve an effective result under the eye.
The application technique is very special
In order to achieve an effective result under the eye, it is necessary to go to relatively high volumes. That’s where the problems start. High volumes are typically much more susceptible to complications, and it is also necessary that the practitioner is highly experienced and knows what he is doing. Most practitioners divide 1ml of filling under 2 eyes. This amount is quite small and relatively safe. The problem is that this volume seems to be sufficient at first due to the edema after the application, but after a few weeks, the patients complain that the filling melted, it wasn’t enough, I didn’t get the result I wanted. At higher volumes, bumps and visible irregularities may occur when the fill is deposited in an area.
After the application, your under eye will be noticeably bruised and swollen
When the filler is applied with the above-mentioned technique, that is, when you distribute it to the tissue, it is inevitable that there will be a slight but noticeable swelling and bruising around the patient’s eyes that will last for about 5-7 days. Unfortunately, you will not be able to leave the clinic and go to lunch with friends afterwards.
The application is only suitable for early aging deformities
Under-eye filling applications are definitely not suitable for advanced aging deformities for the reasons I mentioned above. It should be used only for early-stage deformities, that is, in patients where the skin does not wrinkle much, muscle layer does not relax, volume loss is not at an advanced level, bags are very slightly visible.
Be informed about the other options
The under-eye filler application is just one of the options in the aesthetics of the eye area. A conscious patient should not focus on an option and ignore professional opinions just because it is being marketed decently. When you contact your plastic surgeon, listen carefully to what he will tell you. It is possible to apply a treatment under the eye with your own tissue (microfat/nanofat), sometimes anatomical changes occur at a very early age in anatomically predisposed individuals and can be permanently removed by surgery, regardless of the patient’s young age. Sometimes tightening of the eyelid surface sometimes treatment of bags, muscle weakness and excess skin may be required with lower eyelid surgery. For this reason, filling is not an alternative to surgical treatment under the eyes, as it has never been.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.